NPI age
19 years
Enumerated 2006-07-15
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CT) | 001439901 | |
| 01 (TX) | 8FK227 | BCBS |
| 01 (CT) | 043990 | WORK COMP |
| 01 (CT) | 010043990CT01 | BCBS # |
| 01 (NY) | 239313 | NEW YORK STATE LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →